| NPI | 1568583359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28218814A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704214223) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2016-09-14 |